The Works of William Harvey M.D.: Translated from the Latin with a life of the authorHarvey, William
Science
The Works of William Harvey M.D.: Translated from the Latin with a life of the author
Harvey, William
Blood -- Circulation -- Early works to 1800; Embryology -- Early works to 1800; Physiology -- Early works to 1800
But that the question under discussion, viz.--that the pulsific power
does not proceed from the heart by the coats of the vessels, may be set
in yet a clearer light, I beg here to refer to a portion of the
descending aorta, about a span in length, with its division into the two
crural trunks, which I removed from the body of a nobleman, and which is
converted into a bony tube; by this hollow tube, nevertheless, did the
arterial blood reach the lower extremities of this nobleman during his
life, and cause the arteries in these to beat; and yet the main trunk
was precisely in the same condition as is the artery in the experiment
of Galen, when it is tied upon a hollow tube; where it was converted
into bone it could neither dilate nor contract like bellows, nor
transmit the pulsific power from the heart to the inferior vessels; it
could not convey a force which it was incapable of receiving through the
solid matter of the bone. In spite of all, however, I well remember to
have frequently noted the pulse in the legs and feet of this patient
whilst he lived, for I was myself his most attentive physician, and he
my very particular friend. The arteries in the inferior extremities of
this nobleman must therefore and of necessity have been dilated by the
impulse of the blood like flaccid sacs, and not have expanded in the
manner of bellows through the action of their tunics. It is obvious,
that whether an artery be tied over a hollow tube, or its tunics be
converted into a bony and unyielding canal, the interruption to the
pulsific power in the inferior part of the vessel must be the same.
I have known another instance in which a portion of the aorta near the
heart was found converted into bone, in the body of a nobleman, a man of
great muscular strength. The experiment of Galen, therefore, or, at all
events, a state analogous to it, not effected on purpose but encountered
by accident, makes it sufficiently to appear, that compression or
ligature of the coats of an artery does not interfere with the pulsative
properties of its derivative branches; and indeed, if the experiment
which Galen recommends were properly performed by any one, its results
would be found in opposition to the views which Vesalius believed they
would support.
But we do not therefore deny everything like motion to the tunics of the
arteries; on the contrary, we allow them the same motions which we
concede to the heart, viz., a diastole, and a systole or return from the
distended to the natural state; this much we believe to be effected by a
power inherent in the coats themselves. But it is to be observed, that
they are not both dilated and contracted by the same, but by different
causes and means; as may be observed of the motions of all parts, and of
the ventricle of the heart itself, which is distended by the auricle,
contracted by its own inherent power; so, the arteries are dilated by
the stroke of the heart, but they contract or collapse of
themselves.[113]
Public-domain text, read in full here on John Shaqi.
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